Scribd
Upload
805 views4 pages

JVVNL - DBT - Form and Formats

The document is an application form for vendor empanelment for solar rooftop projects in Rajasthan DISCOMs under the RTS Phase-II program. It requests information from applicants such as company details, licenses and permits held, technical capabilities, and declarations regarding quality, maintenance, statutory compliances and not being blacklisted.

Uploaded by

ajm.aen.391
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
805 views4 pages

JVVNL - DBT - Form and Formats

The document is an application form for vendor empanelment for solar rooftop projects in Rajasthan DISCOMs under the RTS Phase-II program. It requests information from applicants such as company details, licenses and permits held, technical capabilities, and declarations regarding quality, maintenance, statutory compliances and not being blacklisted.

Uploaded by

ajm.aen.391
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 4

Annexure-II

To,
The Addl. Chief Engineer(Project)
AVVNL, Ajmer
Vidyut Bhawan, Panchaseel Nagar,
Ajmer-305004

SUB: APPLICATION FOR VENDOR EMPANELMENT FOR SOLAR ROOFTOP


ON THE NATIONAL PORTAL FOR ROOFTOP SOLAR IN RAJASTHAN
DISCOMs UNDER RTS PROGRAMME PHASE-II.

Ref:- AVVNL/ACE(Project)/2022-23/XEN(DSM)/F.RTS-DBT/D.866 dated 01.11.2022

Dear Sir,

With reference to notice/office order regarding “Vendor Empanelment


For Solar Rooftop On The National Portal For Rooftop Solar In Jaipur
Discom Under RTS Programme Phase-II”, I/we hereby confirm that I/we
have read the all terms & conditions and further confirm to accept all
the terms and conditions in documents.

Thanking You,

Date:

Yours Sincerely,

Name:
Address:
Annexure-
APPLICATION FOR VENDOR EMPANELMENT FOR SOLAR ROOFTOP
ON THE NATIONAL PORTAL FOR ROOFTOP SOLAR IN RAJASTHAN
DISCOM UNDER RTS PROGRAMME PH-II

1. Name of firm/Vendor: ........................................................................................

2. Firm’s Address: ..................................................................................................

3. Mobile No...........................................................................................................

4. E-Mail Address...................................................................................................

5. GSTIN no...........................................................................................................

6. PAN no..............................................................................................................

7. Electrical Contractor License No.(GoR)............................& Valid upto...........

8. Details of Documents :
Electrical
Application form
Contractor Undertaking of Non-
with Declaration GSTIN PAN PBG
License blacklisted/debarred
form
No.(GoR)

I/we certified that information provided above & the relevant certificates enclosed
are true.

Signature of Applicant/Firm(with Seal)


Annexure
Format of Declaration from vendor

1. Name of the Firm


2. Legal status of the Firm (Ltd/Pvt/Proprietary/Partnership/LLP) .
3. GSTIN number of the Firm
4. PAN number of the Firm .
5. Provident Fund number of the Firm (if applicable)
6. The Firm has sufficient (at least three) technical manpower trained in the skills
required to execute the work of installation of rooftop solar plants.
7. The Firm fulfils all statutory requirements, for example those relating to electrical
safety, to install rooftop solar plants.
8. The Firm will install rooftop solar plants fulfilling minimum technical standards
and specifications issued by the MNRE.
9. The Firm will provide comprehensive maintenance of the rooftop solar plant installed
by the Firm for at least 5 years.
10. The Firm will provide all necessary information related to installation of rooftop solar
plants and Do's and Don'ts to the beneficiary.
11. The Firm will also provide name, contact number and e-mail of the person where the
beneficiary can register a complaint related to rooftop solar plants installed by the
Firm. This details will also be made available to the State authorities and MNRE.
12. In case of any discrepancy in terms of quality and services provided by the Firm,
the concerned distribution company/Electricity Department can blacklist the Firm
and encash the performance bank guarantee, apart from taking other legal actions.
13. The signatory of this declaration is authorised by the Firm and the Firm will abide by
all the conditions mentioned above. In case of any misinformation or concealment of
facts, appropriate legal action may be taken against the Firm by the affected parties.
14. Along with this declaration, the Firm is submitting a performance bank guarantee of
Rs. 2.5 lakh valid for five years.
15. The Firm is willing to work in urban/rural areas of , , (name of
districts).

Authorised Signatory
Name:
Designation:
Name of the Firm:
Undertaking for No Blacklisting & No Banning

To,
The Addl. Chief Engineer(Project)
AVVNL, Ajmer
Vidyut Bhawan, Panchaseel Nagar,
Ajmer-305004

Sub: Regarding self declaration undertaking for No Blacklisting & No Banning for vendor empanelment
for solar rooftop on the national portal for rooftop solar in Rajasthan Discoms under RTS programme
Phase-II.

Ref: AVVNL/ACE(Project)/2022-23/XEN(DSM)/F.RTS-DBT/D.866 dated 01.11.2022

I/ We hereby declare that presently our Company/ Limited Liability Partnership/ Sole Proprietorship is
not insolvent, not in receivership, not bankrupt or wound up, not have affairs administered by a court or
a judicial officer, not have business activities suspended.

I/ We further declare that presently our Company/ Limited Liability Partnership/ Sole Proprietorship is
not blacklisted or debarred by any utility/ government agency, and not have a conflict of interest.

If this declaration is found to be incorrect then without prejudice to any other action that may be taken,
our PBG may be forfeited in full and the vendor registration/empaneled for RTS Phase-II, if any to the
extent accepted may be cancelled.

(Signature & Seal of Authorized Signatory)

Name of Authorized Signatory:

Designation:

Date:

Place:

You might also like